Responsible for all Inpatient, Surgical and Outpatient Professional Billing of the Revenue Cycle Responsible for the direct flow of billing related activities Monitor the A/R for both departments Work with Patient Financial Services on coding/billing issues Responsible for understanding Professional Compliance documentation requirements for both Physicians and Advanced Practice Clinicians.  Provide routine audits and feedback to Physicians for both inpatient and… Show more Responsible for all Inpatient, Surgical and Outpatient Professional Billing of the Revenue Cycle Responsible for the direct flow of billing related activities Monitor the A/R for both departments Work with Patient Financial Services on coding/billing issues Responsible for understanding Professional Compliance documentation requirements for both Physicians and Advanced Practice Clinicians.  Provide routine audits and feedback to Physicians for both inpatient and outpatient documentation Provide monthly reports to department and physicians Work with Department Chairs to implement coding/documentation changes for physicians Supervise and direct the work of team members Review Denials and write appropriate Insurance appeals when needed  Provide a Billing Orientation for all new physicians Maintain and update policies and procedures for the coding area and clinical staff  Instrumental in setting up offsite practice areas with appropriate billing information Coordinate fee charges and provide impact analysis. Responsible for setting up all new codes for physicians Participate on organizational teams, such as EMR Implementation, Cerner Scheduling conversion, ICD 10 team, and KPMG project teams Provide all physicians with monthly coding and policy changes Develop and maintain effective relations and lines of communication with front-end functions Develop and deliver annual employee evaluations Maintain all out patient encounter forms  Interview/hire and monitor training progression of new staff Show less

 Responsible for understanding Professional Compliance and implementing the physicians Professional Compliance programs. This included regular review of HCFA Compliance standards and updating the HMC compliance program to assure it meets regulations.  Provide all new Physicians Compliance Training including E&M billing standards Perform monthly audits for departments consisting of reviewing the medical record against the selected billing to assure compliance Perform all Audits… Show more  Responsible for understanding Professional Compliance and implementing the physicians Professional Compliance programs. This included regular review of HCFA Compliance standards and updating the HMC compliance program to assure it meets regulations.  Provide all new Physicians Compliance Training including E&M billing standards Perform monthly audits for departments consisting of reviewing the medical record against the selected billing to assure compliance Perform all Audits from outside carriers including HCFA, Blue Shield and MA. Investigate and follow up with Compliance Hot Line Calls Offer quarterly refresher courses to physicians, residents, and APC’s Provided interim supervisory responsibility during the absence of an IPCA supervisor, I was asked to step in and put the fragmented program together into a functional program. Worked closely with the Chief Compliance office, department Chairs and CFO to insure Professional Compliance was maintained. Show less

 Interview/hire and monitor training progression of new staff Develop and deliver annual employee evaluations Responsible for all Inpatient, Surgical and Outpatient Professional Billing of the Revenue Cycle Provide a Billing Orientation for all new physicians Review Denials and write appropriate Insurance appeals when needed Work with IT and Patient Financial Service on coding and billing issues  Maintain and update policies and procedures for the coding area and… Show more  Interview/hire and monitor training progression of new staff Develop and deliver annual employee evaluations Responsible for all Inpatient, Surgical and Outpatient Professional Billing of the Revenue Cycle Provide a Billing Orientation for all new physicians Review Denials and write appropriate Insurance appeals when needed Work with IT and Patient Financial Service on coding and billing issues  Maintain and update policies and procedures for the coding area and clinical staff Provide all physicians with monthly coding and policy changes Provide monthly reports to department and physicians Monitor workflow in the coding area and assure appropriate coverage Instrumental in setting up offsite practice areas with appropriate billing information Maintain all out patient encounter forms  Work with Department Chairs to implement coding changes for physicians Responsible for setting up all new codes for physicians Show less

 Applying insurance company payments to accounts Working AR on outstanding Commercial Accounts Working Target Files Appealing and resolving accounts.

 Registered Patients for appointments Scheduled patients Work with Physicians to maintain outpatient schedule